1
|
Gruijthuijsen C, Borghesan G, Reynaerts D, Poorten EV. A Hybrid Active/Passive Wrist Approach for Increasing Virtual Fixture Stiffness in Comanipulated Robotic Minimally Invasive Surgery. IEEE Robot Autom Lett 2019. [DOI: 10.1109/lra.2019.2923950] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
|
2
|
Gruijthuijsen C, Colchester R, Devreker A, Javaux A, Maneas E, Noimark S, Xia W, Stoyanov D, Reynaerts D, Deprest J, Ourselin S, Desjardins A, Vercauteren T, Vander Poorten E. Haptic Guidance Based on All-Optical Ultrasound Distance Sensing for Safer Minimally Invasive Fetal Surgery. JOURNAL OF MEDICAL ROBOTICS RESEARCH 2018; 3:10.1142/S2424905X18410015. [PMID: 30820482 PMCID: PMC6390942 DOI: 10.1142/s2424905x18410015] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
By intervening during the early stage of gestation, fetal surgeons aim to correct or minimize the effects of congenital disorders. As compared to postnatal treatment of these disorders, such early interventions can often actually save the life of the fetus and also improve the quality of life of the newborn. However, fetal surgery is considered one of the most challenging disciplines within Minimally Invasive Surgery (MIS), owing to factors such as the fragility of the anatomic features, poor visibility, limited manoeuvrability, and extreme requirements in terms of instrument handling with precise positioning. This work is centered on a fetal laser surgery procedure treating placental disorders. It proposes the use of haptic guidance to enhance the overall safety of this procedure and to simplify instrument handling. A method is described that provides effective guidance by installing a forbidden region virtual fixture over the placenta, thereby safeguarding adequate clearance between the instrument tip and the placenta. With a novel application of all-optical ultrasound distance sensing in which transmission and reception are performed with fibre optics, this method can be used with a sole reliance on intraoperatively acquired data. The added value of the guidance approach, in terms of safety and performance, is demonstrated in a series of experiments with a robotic platform.
Collapse
Affiliation(s)
| | - Richard Colchester
- Department of Medical Physics & Biomedical Engineering, University College London, UK
| | - Alain Devreker
- Department of Mechanical Engineering, KU Leuven, Belgium
| | - Allan Javaux
- Department of Mechanical Engineering, KU Leuven, Belgium
| | - Efthymios Maneas
- Department of Medical Physics & Biomedical Engineering, University College London, UK
| | - Sacha Noimark
- Department of Medical Physics & Biomedical Engineering, University College London, UK
| | - Wenfeng Xia
- Department of Medical Physics & Biomedical Engineering, University College London, UK
| | - Danail Stoyanov
- Centre for Medical Imaging Computing, University College London, UK
- Wellcome/EPSRC Centre for Interventional and Surgical Sciences, London, UK
| | | | - Jan Deprest
- Department of Obstetrics and Gynecology, Division Woman and Child, Fetal Medicine Unit, KU Leuven, Belgium
- Wellcome/EPSRC Centre for Interventional and Surgical Sciences, London, UK
| | - Sebastien Ourselin
- Centre for Medical Imaging Computing, University College London, UK
- Wellcome/EPSRC Centre for Interventional and Surgical Sciences, London, UK
| | - Adrien Desjardins
- Department of Medical Physics & Biomedical Engineering, University College London, UK
- Wellcome/EPSRC Centre for Interventional and Surgical Sciences, London, UK
| | - Tom Vercauteren
- Department of Medical Physics & Biomedical Engineering, University College London, UK
- Wellcome/EPSRC Centre for Interventional and Surgical Sciences, London, UK
| | | |
Collapse
|
3
|
Semi-manual mastoidectomy assisted by human–robot collaborative control – A temporal bone replica study. Auris Nasus Larynx 2016; 43:161-5. [DOI: 10.1016/j.anl.2015.08.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 08/08/2015] [Accepted: 08/26/2015] [Indexed: 11/20/2022]
|
4
|
Shalowitz DI, Smith AG, Bell MC, Gibb RK. Teleoncology for gynecologic cancers. Gynecol Oncol 2015; 139:172-7. [PMID: 26151077 DOI: 10.1016/j.ygyno.2015.06.042] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Revised: 06/23/2015] [Accepted: 06/23/2015] [Indexed: 01/10/2023]
Abstract
Teleoncology describes cancer care provided remotely to improve access to care in rural or underserved areas. In the United States, 14.8 million women live more than 50 miles away from the closest gynecologic oncologist; 4.3 million women live more than 100 miles distant. Teleoncology may therefore partially relieve the geographic barriers to high-quality gynecologic cancer care these women experience. Little has been published on the feasibility of remote provision of high-quality care for gynecologic cancers, perhaps owing to the particular difficulties inherent in remote management of patients who may require both medical and surgical intervention. In this article, we review the data supporting the use of telemedicine in the treatment of cancer patients with a specific focus on applicability to management of gynecologic malignancies. We further add our group's experience with the treatment of rural, underserved gynecologic cancer patients. We believe that development of teleoncologic systems is critical to ensure that all women have access to high-quality gynecologic cancer care, regardless of where they reside.
Collapse
Affiliation(s)
- David I Shalowitz
- Division of Gynecologic Oncology, University of Pennsylvania, Philadelphia, PA, United States.
| | - Allison G Smith
- Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Maria C Bell
- Department of Obstetrics and Gynecology, Sanford School of Medicine, University of South Dakota, Sioux Falls, SD, United States
| | - Randall K Gibb
- Division of Gynecologic Oncology, Billings Clinic, Billings, MT, United States
| |
Collapse
|